India is witnessing a sharp surge in Covid-19 cases with nearly 400,000 active cases in India. What is worrying is that this spike comes at a time when vaccine options are available and a high number of doses are being administered daily. No doubt, this is not enough. Distribution hurdles coupled with vaccine supply and demand challenges can derail the country’s ambitious target of vaccinating 250 million people with two doses by the end of July 2021 (or 3.65 million shots per day for the remaining days).